Provider Demographics
NPI:1558692632
Name:BENEDETT, MARY (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:
Last Name:BENEDETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 NEWPORT RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-3425
Mailing Address - Country:US
Mailing Address - Phone:302-995-8000
Mailing Address - Fax:
Practice Address - Street 1:1417 NEWPORT RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-3425
Practice Address - Country:US
Practice Address - Phone:302-995-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0035155163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool